Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1569 | AZ |
NPI | 1013038009 |
---|---|
Provider Name | Mrs. Joanne C Hopman |
First Address | Prescott Valley, AZ 86314-1242 |
Second Address | Prescott Valley, AZ 86314-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 12/02/2014 |